| LCA CASE NUMBER | I-200-21091-191088 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-01 |
| DECISION DATE | 2021-04-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ivinson Memorial Hospital |
| EMPLOYER ADDRESS1 | 255 North 30th Street |
| EMPLOYER CITY | Laramie |
| EMPLOYER STATE | WY |
| EMPLOYER POSTAL CODE | 82072 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13077554609 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Miller |
| EMPLOYER POC FIRST NAME | Nathan |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 255 North 30th Street |
| EMPLOYER POC CITY | Laramie |
| EMPLOYER POC STATE | WY |
| EMPLOYER POC POSTAL CODE | 82072 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13077554609 |
| EMPLOYER POC EMAIL | NMiller@ivinsonhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leibl |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 12250 El Camino Real |
| AGENT ATTORNEY ADDRESS2 | Suite 350 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18584815211 |
| AGENT ATTORNEY EMAIL ADDRESS | lorraine@usimmigrationlaw.net |
| LAWFIRM NAME BUSINESS NAME | Leibl and Kirkwood PC |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 255 N 30th St. |
| LCA CASE WORKLOC1 CITY | Laramie |
| WORKSITE COUNTY | ALBANY |
| LCA CASE WORKLOC1 STATE | WY |
| WORKSITE POSTAL CODE | 82072 |
| LCA CASE WAGE RATE FROM | 318000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 220771 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chiwai |
| PREPARER FIRST NAME | Lorraine |
| PREPARER BUSINESS NAME | Leibl and Kirkwood PC |
| PREPARER EMAIL | lorraine@usimmigrationlaw.net |
